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Individual

AARON MICHAEL BERNIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1801 N SENATE BLVD STE 220, INDIANAPOLIS, IN 46202-1260
(317) 962-3700
(317) 962-8800
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01082251A
IN
208800000X
Urology Physician
25MA10042200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001290306
ANTHEM PTAN
IN
05
300027463
IN
Enumeration date
04/05/2011
Last updated
03/03/2025
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